Active NPI
Ya-Chun Wang, DDS, PLLC
- Dentist
- Mount Vernon, WA
National Provider Identifier
1548675317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE60477545
- Legal business name
- YA-CHUN WANG, DDS, PLLC
- Practice address
- 2210 Kulshan View Dr
Mount Vernon, WA 98273-2779 - Phone
- (360) 424-3811
- Fax
- (360) 424-8703
- NPI assigned
- Jun 30, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ya-Chun Wang, DDS
- Title
- Dentist
- Phone
- (425) 903-9004
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE60477545 | WA | Primary |
Addresses
Primary practice location
2210 Kulshan View Dr
Mount Vernon, WA 98273-2779
Mailing address
2210 Kulshan View Dr
Mount Vernon, WA 98273-2779
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404086400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1431302400000",
"number": "1548675317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2210 KULSHAN VIEW DR",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982732779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 KULSHAN VIEW DR",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982732779",
"telephone_number": "360-424-3811",
"fax_number": "360-424-8703"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YA-CHUN WANG, DDS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-30",
"last_updated": "2015-05-11",
"status": "A",
"authorized_official_last_name": "WANG",
"authorized_official_first_name": "YA-CHUN",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "425-903-9004",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "WA",
"license": "DE60477545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.